Individual provider Active NPI

Brandon C Whiteside, MD

  • Ophthalmology Physician
  • Huntersville, NC
National Provider Identifier
1952367484
Registry record updated May 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
200401351 Issued in NC
Practice address
16610 Birkdale Commons Pkwy Ste a
Huntersville, NC 28078-5646
Phone
(704) 895-8200
NPI assigned
Apr 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 16, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 200401351 NC Primary

Addresses

Primary practice location

16610 Birkdale Commons Pkwy Ste a
Huntersville, NC 28078-5646

Mailing address

16610 Birkdale Commons Pkwy Ste a
Huntersville, NC 28078-5646
Phone (704) 895-8200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041211000181 NC Practitioner - Ophthalmology 7719944750 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of South Carolina School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charlotte Ophthalmology Clinic, P.a.Group PAC ID 7113983602, 2 clinicians

Practice addresses (Care Compare)

16610 Birkdale Commons Pkwy
Suite a
Huntersville, NC 28078-5646
Phone (704) 895-8200

Merit-based Incentive Payment System (MIPS)

Final score
94.6 of 100Reported as group
Quality
99.74
Improvement activities
40
Cost
82.36

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery121

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200401351NCMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Ophthalmology Clinic P.a. Ophthalmology CurrentSince Sep 27, 2020 Accepting new patients
Charlotte Ophthalmology Clinic P.a. Corneal and Contact Management CurrentSince Oct 18, 2004 Accepting new patients
University Specialty Clinics - Ophthalmology Ophthalmology Past Accepting new patients
St Lukes Surgical Center Inc Ophthalmology Past Accepting new patients
St Lukes Cataract & Laser Institute Ophthalmology Past Accepting new patients

Locations

2007 Randolph Rd
Charlotte, NC 28207
Phone (704) 332-1700

4335 Colwick Rd
Charlotte, NC 28211
Phone (704) 364-7400

16610 Birkdale Commons Pkwy
Ste A
Huntersville, NC 28078
Phone (704) 895-8200

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1145836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715817600000",
    "number": "1952367484",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16610 BIRKDALE COMMONS PKWY STE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785646",
            "telephone_number": "704-895-8200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16610 BIRKDALE COMMONS PKWY STE A",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280785646",
            "telephone_number": "704-895-8200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITESIDE",
        "first_name": "BRANDON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-24",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "NC",
            "license": "200401351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.